| NPI | 1346590601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1124) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 000078) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2019-11-19 |